BOONE MEMORIAL HOSPITAL INC (NPI# 1639135221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639135221 |
| Entity Type | Organization |
| Organization Name | BOONE MEMORIAL HOSPITAL INC |
| Other Organization Name | BOONE MEMORIAL HOSPITAL |
| Practice Address |
701 Madison Ave Madison WV 25130-1669 |
| Practice Telephone | 3043691230 |
| Practice Fax Number | 3043696036 |
| Mailing Telephone | 3043691230 |
| Mailing Fax Number | 3043696036 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | RANDELL DAVIS FOXX (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3043691230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
IP0550770 | WV | Suppliers |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
119 | WV | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2109661 | 01 | |
| WV | 0102256000 | 05 |
| Other Name | Type Code |
|---|---|
| BOONE MEMORIAL HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1285686725 | Boone Memorial Hospital Inc | Clinic/Center | 701 Madison Ave, Madison, WV 25130-1669 | 2006-05-16 |
| 1871543322 | Boone Memorial Hospital Inc | Medicare Defined Swing Bed Unit | 701 Madison Ave, Madison, WV 25130-1669 | 2006-05-12 |
| Street Address |
701 MADISON AVE |
| City | MADISON |
| State | WV |
| Zip Code | 25130-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265412472 | James Kenton Walker | Family Medicine | 701 Madison Ave, Madison, WV 25130-1669 | 2006-01-23 |
| 1316593270 | Jessica Toath-callahan | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1699 | 2019-08-15 |
| 1467013243 | Kerri Anne Spry-lambert | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1669 | 2019-06-24 |
| 1710456561 | Casey Shannon Hatfield | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1699 | 2018-11-21 |
| 1265927750 | Melissa Ann Price | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1699 | 2018-06-27 |
| 1154844249 | Heather Kay Legg | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1669 | 2017-07-20 |
| 1346763786 | Jackson B Austin | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1669 | 2017-07-18 |
| 1184091399 | Robert Lee Foster Jr. | Pharmacist | 701 Madison Ave, Madison, WV 25130-1669 | 2015-08-24 |
| 1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
| 1942694971 | Shane Cook | Dermatology | 701 Madison Ave, Madison, WV 25130-1669 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
| 1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
| 1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
| 1063446854 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3265 Smoot Avenue, Madison, WV 25130 | 2006-07-10 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| 1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1770597171 | Ronald D Chattin | Family Medicine | 515 Main St, Madison, WV 25130 | 2006-07-28 |
| Find all providers in zip 25130 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1245235837 | Morgan County Georgia Hospital Authority | General Acute Care Hospital | 1077 S Main St, Madison, GA 30650-2073 | 2005-06-20 |
| 1104821461 | Madison County Hospital Health Systems, Inc. | General Acute Care Hospital | 224 Nw Crane Ave, Madison, FL 32340-1400 | 2005-06-14 |
| 1457697419 | Veteran's Health Administration | General Acute Care Hospital | 2500 Overlook Ter, Madison, WI 53705-2254 | 2012-12-19 |
| 1205843174 | Morgan County Georgia Hospital Authority | General Acute Care Hospital | 1077 S Main St, Madison, GA 30650-2073 | 2006-08-02 |
| 1275596777 | Boone Memorial Hospital | General Acute Care Hospital | 701 Madison Ave, Madison, WV 25130-1669 | 2006-04-07 |
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| 1891722377 | Jefferson Memorial Hospital | General Acute Care Hospital | 300 S. Preston Street, Ranson, WV 25438-1631 | 2006-06-28 |
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| 1457326241 | Hampshire Memorial Hospital, Inc | General Acute Care Hospital | 549 Center Ave, Romney, WV 26757-1352 | 2006-02-23 |
| 1912979873 | Potomac Valley Hospital of W Va, Inc | General Acute Care Hospital | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2006-02-06 |
| 1548246622 | Broaddus Hospital Association, Inc. | General Acute Care Hospital | #1 Healthcare Drive, Mansfield Hill, Philippi, WV 26416 | 2005-12-20 |
| 1689664179 | Appalachian Regional Healthcare, Inc. | General Acute Care Hospital | 115 Summers Hospital Road, Hinton, WV 25951 | 2005-10-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.